BSN | Nursing Leadership & Evidence-Based Practice |
Final Exam Practice 2026 UPDATED ACTUAL Questions
and CORRECT Answers
1. Which leadership style is characterized by a leader who inspires and
motivates followers to achieve extraordinary outcomes and develop their own
leadership capacity?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Autocratic Leadership
D. Transformational Leadership
Answer: D
Rationale: Transformational leadership focuses on vision and inspiration, encouraging
followers to exceed expectations and grow professionally.
2. In Lewin’s Change Theory, what is the first stage where the need for change is
identified and readiness is created?
A. Moving
B. Unfreezing
C. Refreezing
D. Standardizing
Answer: B
Rationale: Unfreezing is the initial stage where old patterns are challenged and the
organization prepares for a new way of doing things.
,3. When formulating a clinical question using the PICO format, what does the ‘I’
represent?
A. Implementation
B. Intervention
C. Indicator
D. Information
Answer: B
Rationale: In PICO (Patient, Intervention, Comparison, Outcome), the I stands for the
specific intervention or treatment being considered.
4. Which level of evidence is considered the ‘gold standard’ in the hierarchy of
evidence for evidence-based practice?
A. Expert opinion
B. Case-control studies
C. Systematic reviews of randomized controlled trials (RCTs)
D. Qualitative studies
Answer: C
Rationale: Systematic reviews and meta-analyses of RCTs provide the highest level of
evidence due to rigorous methodology and synthesis of multiple studies.
5. A nurse manager is resolving a conflict by encouraging both parties to set
aside their differences and work toward a common goal. This is known as:
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: A
Rationale: Collaboration is a win-win strategy where parties work together to find a
solution that satisfies everyone’s concerns.
, 6. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Person
B. Right Time
C. Right Room
D. Right Documentation
Answer: A
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
7. What is the primary purpose of a Root Cause Analysis (RCA) after a sentinel
event?
A. To assign blame to the individual responsible
B. To satisfy insurance requirements
C. To provide evidence for legal proceedings
D. To identify system failures and prevent recurrence
Answer: D
Rationale: RCA is a structured process used to identify the underlying system-related
causes of an adverse event to improve safety.
8. Which ethical principle refers to the nurse’s obligation to ‘do no harm’?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: B
Rationale: Non-maleficence is the ethical duty to avoid causing harm to patients.
Final Exam Practice 2026 UPDATED ACTUAL Questions
and CORRECT Answers
1. Which leadership style is characterized by a leader who inspires and
motivates followers to achieve extraordinary outcomes and develop their own
leadership capacity?
A. Transactional Leadership
B. Laissez-faire Leadership
C. Autocratic Leadership
D. Transformational Leadership
Answer: D
Rationale: Transformational leadership focuses on vision and inspiration, encouraging
followers to exceed expectations and grow professionally.
2. In Lewin’s Change Theory, what is the first stage where the need for change is
identified and readiness is created?
A. Moving
B. Unfreezing
C. Refreezing
D. Standardizing
Answer: B
Rationale: Unfreezing is the initial stage where old patterns are challenged and the
organization prepares for a new way of doing things.
,3. When formulating a clinical question using the PICO format, what does the ‘I’
represent?
A. Implementation
B. Intervention
C. Indicator
D. Information
Answer: B
Rationale: In PICO (Patient, Intervention, Comparison, Outcome), the I stands for the
specific intervention or treatment being considered.
4. Which level of evidence is considered the ‘gold standard’ in the hierarchy of
evidence for evidence-based practice?
A. Expert opinion
B. Case-control studies
C. Systematic reviews of randomized controlled trials (RCTs)
D. Qualitative studies
Answer: C
Rationale: Systematic reviews and meta-analyses of RCTs provide the highest level of
evidence due to rigorous methodology and synthesis of multiple studies.
5. A nurse manager is resolving a conflict by encouraging both parties to set
aside their differences and work toward a common goal. This is known as:
A. Collaborating
B. Compromising
C. Avoiding
D. Competing
Answer: A
Rationale: Collaboration is a win-win strategy where parties work together to find a
solution that satisfies everyone’s concerns.
, 6. Which of the following is one of the ‘Five Rights of Delegation’?
A. Right Person
B. Right Time
C. Right Room
D. Right Documentation
Answer: A
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
7. What is the primary purpose of a Root Cause Analysis (RCA) after a sentinel
event?
A. To assign blame to the individual responsible
B. To satisfy insurance requirements
C. To provide evidence for legal proceedings
D. To identify system failures and prevent recurrence
Answer: D
Rationale: RCA is a structured process used to identify the underlying system-related
causes of an adverse event to improve safety.
8. Which ethical principle refers to the nurse’s obligation to ‘do no harm’?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Answer: B
Rationale: Non-maleficence is the ethical duty to avoid causing harm to patients.
